Power to the People : Evidence from a Randomized Field Experiment of a Community-Based Monitoring Project in Uganda
This paper analyzes the importance of strengthening the relationship of accountability between health service providers and citizens for improving access to and quality of health care. How this is to be achieved, and whether it works, however, rema...
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| Language: | English |
| Published: |
World Bank, Washington, DC
2012
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| Online Access: | http://documents.worldbank.org/curated/en/2007/06/7746889/power-people-evidence-randomized-field-experiment-community-based-monitoring-project-uganda http://hdl.handle.net/10986/7447 |
| Summary: | This paper analyzes the importance of
strengthening the relationship of accountability between
health service providers and citizens for improving access
to and quality of health care. How this is to be achieved,
and whether it works, however, remain open questions. The
paper presents a randomized field experiment on increasing
community-based monitoring. As communities began to more
extensively monitor the provider, both the quality and
quantity of health service provision improved. One year into
the program, there are large increases in utilization,
significant weight-for-age z-score gains of infants, and
markedly lower deaths among children. The findings on staff
behavior suggest that the improvements in quality and
quantity of health service delivery resulted from an
increased effort by the staff to serve the community.
Overall, the results suggest that community monitoring can
play an important role in improving service delivery when
traditional top-down supervision is ineffective. |
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